U.S. Assisted Living Facility Market Size, Share & Trends Analysis Distribution by Age (More than 85, 75-84, 65-74, Less than 65) and Segment Forecasts, 2025-2034

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U.S. Assisted Living Facility Market Size is valued at USD 103.5 Bn in 2024 and is predicted to reach USD 182.3 Bn by the year 2034 at a 5.9% CAGR during the forecast period for 2025-2034.

Assisted Living Facilities (ALFs) in the United States provide housing, personalized support services, and healthcare to older adults who require assistance with daily activities but do not need the level of care provided in nursing homes. These facilities offer a range of services, including meals, housekeeping, transportation, and help with personal care tasks such as bathing, dressing, and medication management.

U.S. Assisted Living Facility Market

The U.S. assisted living facility market has been growing steadily in recent years, driven by the increasing geriatric population and the rising demand for senior care services. According to the U.S. Census Bureau’s 2021 County Business Patterns Survey, states with the most assisted living communities include California (4,100), Washington (1,902), Florida (1,804), Texas (1,295), Wisconsin (1,272), and Oregon (1,208). One key factor behind this growth is the increasing awareness and desire of consumers to age in home-based services. Many older adults prefer to live in a comfortable, home-like environment that offers support and assistance with daily activities, while still maintaining a certain level of independence. Assisted living facilities provide a viable alternative to nursing homes, offering a more affordable and less restrictive option for seniors who require some level of care.

Most assisted living facilities include 24-hour monitoring and support, wellness programs, housekeeping, nourishment, medication management, transportation, and personal care.  According to the National Center for Assisted Living, 80% of residents in assisted living facilities are pleased with their living arrangements. According to forecasts based on statistics from the United States Census Bureau, the senior population will grow significantly, requiring a major increase in the capacity of assisted living networks. 

Competitive Landscape

Some of the Key Players in U.S. Assisted Living Facility Market:

  • Abri Health Care
  • Aegis Living Shadowridge
  • Allegro
  • Artis Senior Living
  • Atria Senior Living, Inc.
  • Avalon Health Care Group
  • Belmont Village, L.P.
  • Benchmark Senior Living
  • Bonaventure Senior Living
  • Brandywine Senior Living
  • Brightview Senior Living
  • Brookdale Senior Living Inc.
  • Capital Senior Living
  • CareOne LLC
  • Carillon Assisted Living
  • Extendicare
  • Felicita Vida
  • Five Star Senior Living
  • Frontier Senior Living
  • Gardant Management Solutions
  • genesis healthcare
  • Integral Senior Living (ISL)
  • Kindred Healthcare, LLC
  • Kisco Senior Living
  • La Marea Senior Living
  • Leisure Care, LLC
  • Life Care Centers of America Inc.
  • Merrill Gardens
  • Morningstar Senior Living
  • National HealthCare Corporation
  • New Perspective Senior Living
  • Pacifica Senior Living
  • Pegasus Senior Living
  • ProMedica Senior Living
  • Sagora Senior Living
  • Senior Lifestyle
  • Silverado Senior Living
  • Sonida Senior Living
  • StoryPoint Group
  • Sunrise Senior Living, LLC
  • The Ensign Group, Inc.
  • The Evangelical Lutheran Good Samaritan Society
  • The Holiday Retirement
  • The Montera
  • White Sands La Jolla
  • Others

Market Segmentation:

The U.S. Assisted Living Facility market is segmented by age. By age the market is segmented into More than 85, 75-84, 65-74, Less than 65.

More than 85 is Expected to Drive the U.S. Assisted Living Facility Market

The population aged 85 and older is one of the fastest-growing demographics in the U.S., with projections from the U.S. Census Bureau indicating it will more than double from 6.7 million in 2020 to 14.4 million by 2040. This segment's rapid growth is significantly impacting the U.S. Assisted Living Facility market. As life expectancy rises, a larger proportion of the elderly population is entering this age bracket, leading to increased demand for assisted living services. Individuals over 85 often face complex healthcare needs, including chronic illnesses and mobility challenges, which assisted living facilities address through medication management, personal care, and specialized healthcare services, including care for conditions like dementia and other age-related ailments.  

U.S. Assisted Living Facility Market Report Scope

Report Attribute Specifications
Market Size Value In 2024 USD 103.5 Bn
Revenue Forecast In 2034 USD 182.3 Bn
Growth Rate CAGR CAGR of 5.9% from 2025 to 2034
Quantitative Units Representation of revenue in US$ Bn and CAGR from 2025 to 2034
Historic Year 2021 to 2024
Forecast Year 2025-2034
Report Coverage The forecast of revenue, the position of the company, the competitive market structure, growth prospects, and trends
Segments Covered By Age
Competitive Landscape Kindred Healthcare, LLC, Brookdale Senior Living Inc., Sunrise Senior Living, LLC, Atria Senior Living, Inc., Five Star Senior Living, Capital Senior Living, Merrill Gardens, Integral Senior Living (ISL), Belmont Village, L.P., Gardant Management Solutions
Customization Scope Free customization report with the procurement of the report, Modifications to the regional and segment scope. Geographic competitive landscape.                     
Pricing and Available Payment Methods Explore pricing alternatives that are customized to your particular study requirements.

Segmentation of U.S. Assisted Living Facility Market -

U.S. Assisted Living Facility Market by Age –

  • More than 85
  • 75-84
  • 65-74
  • Less than 65

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Research Design and Approach

This study employed a multi-step, mixed-method research approach that integrates:

  • Secondary research
  • Primary research
  • Data triangulation
  • Hybrid top-down and bottom-up modelling
  • Forecasting and scenario analysis

This approach ensures a balanced and validated understanding of both macro- and micro-level market factors influencing the market.

Secondary Research

Secondary research for this study involved the collection, review, and analysis of publicly available and paid data sources to build the initial fact base, understand historical market behaviour, identify data gaps, and refine the hypotheses for primary research.

Sources Consulted

Secondary data for the market study was gathered from multiple credible sources, including:

  • Government databases, regulatory bodies, and public institutions
  • International organizations (WHO, OECD, IMF, World Bank, etc.)
  • Commercial and paid databases
  • Industry associations, trade publications, and technical journals
  • Company annual reports, investor presentations, press releases, and SEC filings
  • Academic research papers, patents, and scientific literature
  • Previous market research publications and syndicated reports

These sources were used to compile historical data, market volumes/prices, industry trends, technological developments, and competitive insights.

Secondary Research

Primary Research

Primary research was conducted to validate secondary data, understand real-time market dynamics, capture price points and adoption trends, and verify the assumptions used in the market modelling.

Stakeholders Interviewed

Primary interviews for this study involved:

  • Manufacturers and suppliers in the market value chain
  • Distributors, channel partners, and integrators
  • End-users / customers (e.g., hospitals, labs, enterprises, consumers, etc., depending on the market)
  • Industry experts, technology specialists, consultants, and regulatory professionals
  • Senior executives (CEOs, CTOs, VPs, Directors) and product managers

Interview Process

Interviews were conducted via:

  • Structured and semi-structured questionnaires
  • Telephonic and video interactions
  • Email correspondences
  • Expert consultation sessions

Primary insights were incorporated into demand modelling, pricing analysis, technology evaluation, and market share estimation.

Data Processing, Normalization, and Validation

All collected data were processed and normalized to ensure consistency and comparability across regions and time frames.

The data validation process included:

  • Standardization of units (currency conversions, volume units, inflation adjustments)
  • Cross-verification of data points across multiple secondary sources
  • Normalization of inconsistent datasets
  • Identification and resolution of data gaps
  • Outlier detection and removal through algorithmic and manual checks
  • Plausibility and coherence checks across segments and geographies

This ensured that the dataset used for modelling was clean, robust, and reliable.

Market Size Estimation and Data Triangulation

Bottom-Up Approach

The bottom-up approach involved aggregating segment-level data, such as:

  • Company revenues
  • Product-level sales
  • Installed base/usage volumes
  • Adoption and penetration rates
  • Pricing analysis

This method was primarily used when detailed micro-level market data were available.

Bottom Up Approach

Top-Down Approach

The top-down approach used macro-level indicators:

  • Parent market benchmarks
  • Global/regional industry trends
  • Economic indicators (GDP, demographics, spending patterns)
  • Penetration and usage ratios

This approach was used for segments where granular data were limited or inconsistent.

Hybrid Triangulation Approach

To ensure accuracy, a triangulated hybrid model was used. This included:

  • Reconciling top-down and bottom-up estimates
  • Cross-checking revenues, volumes, and pricing assumptions
  • Incorporating expert insights to validate segment splits and adoption rates

This multi-angle validation yielded the final market size.

Forecasting Framework and Scenario Modelling

Market forecasts were developed using a combination of time-series modelling, adoption curve analysis, and driver-based forecasting tools.

Forecasting Methods

  • Time-series modelling
  • S-curve and diffusion models (for emerging technologies)
  • Driver-based forecasting (GDP, disposable income, adoption rates, regulatory changes)
  • Price elasticity models
  • Market maturity and lifecycle-based projections

Scenario Analysis

Given inherent uncertainties, three scenarios were constructed:

  • Base-Case Scenario: Expected trajectory under current conditions
  • Optimistic Scenario: High adoption, favourable regulation, strong economic tailwinds
  • Conservative Scenario: Slow adoption, regulatory delays, economic constraints

Sensitivity testing was conducted on key variables, including pricing, demand elasticity, and regional adoption.

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Frequently Asked Questions

U.S. Assisted Living Facility Market Size is valued at USD 103.5 Bn in 2024 and is predicted to reach USD 182.3 Bn by the year 2034

The U.S. Assisted Living Facility Market is predicted to grow at a 5.9% CAGR during the forecast period for 2025-2034.

Kindred Healthcare, LLC, Brookdale Senior Living Inc., Sunrise Senior Living, LLC, Atria Senior Living, Inc., Five Star Senior Living, Capital Senior

Age is the key segments of the U.S. Assisted Living Facility Market.

North America region is leading the U.S. Assisted Living Facility Market.
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